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SHAWNTAY SPARKS ACNP-BC
NPI 1144899741
Nurse Practitioner - Acute Care in Mineral Wells, TX

Active since June 18, 2021PECOS EnrolledAccepts Medicare Assignment
74.33/100
CMS Quality Rating
400 SW 25TH AVE, MINERAL WELLS, TX 76067(325) 647-6979 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shawntay Sparks Acnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWNTAY SPARKS ACNP-BC (NPI 1144899741) is an individual acute care provider in Mineral Wells, Texas, licensed in Texas (1044883) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144899741
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSHAWNTAY SPARKSCredential: ACNP-BC
Location Address400 SW 25TH AVEMineral Wells, TX 76067-8246
Mailing Address1 Creekwood CirBrownwood, TX 76801-6651 · (325) 647-6979
Phone(325) 647-6979
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 18, 2021
NPPES CertifiedJune 18, 2021
✔ NPI 1144899741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1044883
400 SW 25TH AVE, Mineral Wells, TX 76067
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawntay Sparks Acnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749685865
PECOS Enrollment IDI20210826002898
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Shawntay Sparks reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texan Family Health LLC
27 mi
Family
119 CENTRAL AVE
Strawn, TX 76475
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1972255156 (254) 977-2556
Providence Health Alliance
104 mi
Specialist
6901 MEDICAL PKWY
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 176 clinicians in this Medicare group
NPI 1932210838 (254) 751-4061
Comprehensive Hospitalist Services Of Texas, PLLC
108 mi
Internal Medicine
3201 W STATE HIGHWAY 22
Corsicana, TX 75110
  • Reassigned Medicare billing, Texas enrollment
  • 149 clinicians in this Medicare group
NPI 1124423348 (903) 654-6800
Concord North Texas, PLLC
127 mi
Emergency Medicine
504 LIPSCOMB ST
Bonham, TX 75418
  • Reassigned Medicare billing, Texas enrollment
  • 105 clinicians in this Medicare group
NPI 1952761173 (888) 264-0330
Travis County Emergency Physicians PA
173 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443
South Central Physicians PLLC
221 mi
Hospitalist
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 39 clinicians in this Medicare group
NPI 1427611854 (888) 264-0330
Concord Medical Group PLLC
222 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330
Concord Medical Group Of Texas PLLC
222 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
NPI 1750790762 (888) 264-0330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,224 services495 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
324 services306 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services26 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Palo Pinto General Hospital

Acute Care Hospitals · Mineral Wells, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450565
Location400 Southwest 25 AveMineral Wells, TX 76067 · Palo Pinto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.69
Promoting Interoperability100
Improvement Activities40
Cost41.75

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PALO PINTO COUNTY HOSPITAL DISTRICT
Clinic/Center
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 745-0484
PALO PINTO COUNTY HOSPITAL DISTRICT
Hospitalist
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-7891
JOHN JONES MD
Emergency Medicine
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-7861
JEFFERY W MCKAMEY CRNA
Nurse Anesthetist, Certified Registered
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-7891
DR. BURRES W GARRISON III D. O.
Emergency Medicine (Emergency Medical Services)
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-7891
PALO PINTO GENERAL HOSPITAL
Durable Medical Equipment & Medical Supplies
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-7891
RAETTA DAWN BRIDGES FNP
Nurse Practitioner (Primary Care)
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-7891
PALO PINTO COUNTY HOSPITAL DISTRICT
Clinic/Center (Ambulatory Surgical)
400 SW 25TH AVE
MINERAL WELLS, TX 76067
Palo Pinto County (940) 325-7891

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawntay Sparks's NPI number?

The NPI number for Shawntay Sparks is 1144899741. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Shawntay Sparks located?

Shawntay Sparks practices at 400 SW 25th Ave, Mineral Wells, TX 76067. The listed phone number is (325) 647-6979.

What is Shawntay Sparks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shawntay Sparks enrolled in Medicare?

Yes. Shawntay Sparks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shawntay Sparks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawntay Sparks reassigns Medicare benefits to 8 organizations: Texan Family Health LLC (Strawn, TX), Providence Health Alliance (Waco, TX), Comprehensive Hospitalist Services Of Texas, PLLC (Corsicana, TX), Concord North Texas, PLLC (Bonham, TX), Travis County Emergency Physicians PA (Austin, TX) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shawntay Sparks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawntay Sparks accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Molina Healthcare, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Shawntay Sparks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shawntay Sparks affiliated with any hospitals?

According to CMS data, Shawntay Sparks is affiliated with Ascension Providence and Palo Pinto General Hospital.

When was this NPI record last updated?

The NPPES record for Shawntay Sparks was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.